eISSN: 1731-2531
ISSN: 1642-5758
Anaesthesiology Intensive Therapy
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5/2019
vol. 51
 
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abstract:
Original paper

Potential sources of conflict in intensive care units – a questionnaire study

Anna Paprocka-Lipińska
1
,
Małgorzata Drozd-Garbacewicz
2
,
Janusz Erenc
3
,
Maria Wujtewicz
4
,
Janina Suchorzewska
1
,
Marek Olejniczak
1
,
Magdalena Wujtewicz
4
,
Henryk Aszkiełowicz
5
,
Astryda Dończyk
6
,
Jacek Furmanik
7
,
Andrzej Gadomski
8
,
Tomasz Kołacki
9
,
Ewa Lenkiewicz
10
,
Andrzej Małek
11
,
Joanna Sawicka
12
,
Bartosz Suchanowski
13
,
Jolanta Wawrzyniak
14
,
Jerzy Węgielnik
15
,
Radosław Owczuk
4

1.
Department of Ethics, Faculty of Medicine, Medical University of Gdańsk, Poland
2.
University of Gdańsk, Poland
3.
Department of Sociology, Public Affairs and Economy, University of Gdańsk, Poland
4.
Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdańsk, Poland
5.
Department of Anaesthesiology and Intensive Therapy, Hospital in Malbork, Poland
6.
Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Chojnice, Poland
7.
Department of Anaesthesiology and Intensive Therapy, Tczew Hospitals PLC, Poland
8.
Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Kościerzyna, Poland
9.
Department of Anaesthesiology and Intensive Therapy, Hospital in Stargard Gdański, Poland
10.
Department of Anaesthesiology and Intensive Therapy, Department of Hyperbaric Medicine and Sea Rescue, University Centre for Maritime and Tropical Medicine in Gdynia, Poland
11.
Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Wejherowo, Poland
12.
Department of Anaesthesiology and Intensive Therapy, Children’s Hospital in Gdańsk, Poland
13.
Department of Anaesthesiology and Intensive Therapy, Regional Hospital in Kartuzy, Poland
14.
Department of Anaesthesiology and Intensive Therapy, Regional Specialist Hospital in Słupsk, Poland
15.
Department of Anaesthesiology and Intensive Therapy, Hospital in Gdańsk, Poland
Anaesthesiol Intensive Ther 2019; 51, 5: 357–360
Online publish date: 2019/10/29
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Background
Conflicts occur in intensive care units (ICUs), and an international multicentre study conducted in 2008, including 323 ICUs from 24 European countries, confirmed the occurrence of this phenomenon. There are no data in Poland. The aim of the study was to analyse the frequency of the occurrence of conflicts in ICUs in Polish hospitals, and their most frequent sources.

Methods
The study was based on an original questionnaire performed in 12 ICUs in the Pomeranian Voivodship. The respondents were asked questions regarding the frequency, type, and lines of conflicts between employees, as well as potential causes of conflicts.

Results
Completed surveys were received from 232 employees, including 79 doctors and 153 nurses. The phenomenon of occurrence of conflicts was confirmed by about 30% of the staff, providing answer that conflicts occur “often”. About 43% of staff estimated that conflicts “sometimes” occur and 25% chose the answer “rarely”. Analysis of the answers made it possible to identify the most common potential causes of conflict.

Conclusions
The main sources of conflicts in ICUs appear to be external factors such a financial issues and physical overload. The hospital policy and the health policy of the state are also important. The perceived conflicts require careful and constant monitoring. The frequency of hidden conflicts requires thorough assessment of their impact on the quality of work.

keywords:

conflicts, teamwork in medicine, interpersonal relationships

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